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Specific Objectives Content Teaching- Resources/Materi Time frame Evaluation

Learning Method als

After 30 minutes, the


students of BSNII-A-01 will
be able to:
Definition: Interactive Learning • laptop, LCD, 3 minutes Socialized
A. Define the meaning of through lecture and projector Recitation
Tuberculosis and identify Tuberculosis is a chronic, sub-acute or acute audiovisual
its etiology respiratory disease commonly affecting the lungs presentation • Handbook of
characterized by the formation of tubercles in the Common
tissues which tend to undergo to caseation, necrosis Communicable &
and calcification. Infectious
Diseases by
Etiologic Agent: Dionesia Mondejar-
Navaes, RN, MAEd,
The causative organism is a rod- shape organism pp. 280
Mycobacterium tuberculosis, M. africanum from
human and M. bovis from the cattle. (DOH, 2000)
5 minutes Paper and
B. Describe and explain the Period of Communicability: Interactive Learning Pencil Test
period of communicability through lecture and (Enumeration)
and mode of transmission The patient is capable of discharging the organism all audiovisual
of Tuberculosis throughout life if he remains untreated. The disease is presentation • laptop, LCD,
highly communicable during its active phase. projector

Mode of Transmission: • Handbook of


Common
The disease is transmitted by deliberate inoculation of Communicable &
microorganism or by droplet. Infectious
Diseases by
1. The disease is transmitted through inhalation of Dionesia Mondejar-
organism directly into the lungs from contaminated Navaes, RN, MAEd,
pp. 280 - 281
air.

2. It can also be transmitted through direct or


indirect contact with infected persons, usually by
discharges from the respiratory tract by means of
coughing, sneezing or kissing.

3. The disease is transmitted through contact with


contaminated eating or drinking utensils.
7 minutes
4. Rarely can the disease be transmitted through skin Paper and
C. Describe and enumerate lesion. Interactive Learning Pencil Test
the different quantitative through lecture and (Enumeration)
and clinical classifications Quantitative Classification: audiovisual
of Tuberculosis presentation
1. Minimal - characterized by slight lesion without
demonstrable excavation, confined to a small part of • laptop, LCD,
one or both lungs projector

2. Moderately advanced • Handbook of


a. One or both lungs may be involved Common
b. The volume affected should not extend to one Communicable &
lobe Infectious
c. Total diameter of the cavity should not exceed Diseases by
four cm. Dionesia Mondejar-
Navaes, RN, MAEd,
3. Far advanced classification - lesions are more pp. 281- 282
extensive than moderate

Clinical Classification:

1. Latent/ Inactive TB
a. Symptoms of tuberculosis are absent.
b. Sputum is absent for tubercle bacilli after repeated
examination.
c. There is no evidence of cavity on chest x-ray.
2. Active
a. Tuberculin test is positive.
b. X-ray of the chest is generally progressive. 3 minutes
c. Symptoms due to lesions are usually present.
d. Sputum and gastric content are positive for tubercle Games
D. Enumerate the common bacilli. Interactive Learning (charades)
signs and symptoms of through role playing
Tuberculosis 3. Activity not determined and discussion
When the activity has not been determined from a
suitable period of observation or adequate laboratory
and x-ray studies.

Clinical Manifestations: • laptop, LCD,


projector
1. Afternoon rise in the temperature
2. Night Sweating • Handbook of 4 minutes
3. Body malaise or general discomfort and weight loss Common
4. Cough, dry to productive Communicable & Socialized
5. Dyspnea, hoarseness of the voice Interactive Learning Infectious Recitation
E. Summarize and trace 6. Hemoptysis/Coughing up of blood - considered through picture and Diseases by 2 minutes
the pathophysiology of pathognomonic to the disease audiovisual Dionesia Mondejar-
Tuberculosis 7. Occasional chest pains presentation Navaes, RN, MAEd, Socialized
8. Sputum positive for AFB (Acid-Fast Bacillus smear pp. 282 Recitation
and culture and sensitivity) Interactive Learning
F. Enumerate the different through lecture
diagnostic procedures for Pathophysiology (Attached)
Tuberculosis

6 minutes
Diagnostic procedures:
Paper and
1. Suptum analysis for AFB - confirmatory Pencil Test
2. Chest x-ray Interactive Learning (Enumeration)
G. Describe and enumerate 3. Tuberculin Testing through lecture and • laptop, LCD,
the modalities of treatment a. mantaux test (PPD) audiovisual projector
of tuberculosis b. tine test (OT) presentation
c. heaf test (LT) • Handbook of
Common
Modalities of Treatment: Communicable &
Infectious
1. Short course chemotherapy may be given through a Diseases by
six-month treatment with Isoniazid (INH), Rifampicin, Dionesia Mondejar-
Pyrazinamide (PZA), and Ethambutol. Navaes, RN, MAEd,
pp. 283
2. Patients with drug resistance may be given with
second line drugs such as capreomycin, streptomycin,
cycloserine, amikacin and quinolone drugs • laptop, LCD,
projector
3. WHO recommends : Direct Observed Therapy"
(DOT) to prevent noncompliance. The health worker • Handbook of
insures that the patient takes his/her drugs. Common
Communicable &
4. If the medicine is taken incorrectly, the patient Infectious
becomes resistant to anti-TB drugs and this is very Diseases by
dangerous because if the disease recurs it becomes Dionesia Mondejar-
Navaes, RN, MAEd,
hard to treat the second time around.
pp. 283-284
5. Relapsing patients usually become resistant to
individual drugs ( INH, Rifampicin, Ethambutol, PZA).
They are given the combination of the above-
mentioned drugs.
Prepared by:

Baunsit, Marianne

Gonzales, Kim Paulo

Sabug, Jhubelle

Torres, Rhea

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